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News & Market Updates
Across all payer types, the number of clinical professionals delivering integrated, mental health and primary care services using the Collaborative Care Model (CoCM) billing codes increased by at least a factor of five nationally between 2018 and 2022, according to a recent study. Adoption rates varied considerably between insurance coverage types and across different geographic…
About 64% of health care provider organizations expect a shift toward value-based care in 2025, compared to 2024, according to a recent survey. About 30% of organizations reported that 25% or more of their revenue is tied to value-based care (VBC) contracts, and about 13% reported that more than 50% of revenue was linked to…
About 55% of behavioral health professionals serving Medicare and Medicaid beneficiaries accepted new appointments in 2023, according to a federal survey report. However, 24% reported wait times of more than 30 days for a new appointment. About 5% had wait times of 90 days or longer for a new appointment. The percentage of health care…
About 30% of artificial intelligence (AI) pilots intended for health care applications reach the production phase of the software development lifecycle, based on a recent survey conducted by Bessemer Venture Partners, Bain & Company, and Amazon Web Services. The survey respondents said that security, data readiness, integration costs, and limited in-house expertise affected whether a…
Youth Medicaid beneficiaries in Colorado had medication costs of $1.1 billion, with 47% of costs attributed to the 6% of youth taking five or more medications, according to data from the 2022 Colorado All Payer Claims Database. The remaining 53% of costs were attributed to the 94% of youth taking fewer medications concurrently. Of the…
On June 30, 2025, Joint Commission launched Accreditation 360: The New Standard, a simplified accreditation standard for hospitals and health care provider organizations. The new approach has fewer requirements and a strong focus on consumer outcomes, according to the announcement. It is intended to streamline and simplify processes and more efficiently share best practices across…
DarioHealth Corp. (Dario), which provides a digital health platform for chronic condition self-management, partnered with GreenKey Health (GreenKey), which provides a value-based care management program for consumers with obstructive sleep apnea (OSA). Dario and GreenKey plan to deliver a value-based, tiered, data-driven solution for integrating behavioral health, sleep health, and cardiometabolic care through this partnership. …
The Centers for Medicare & Medicaid Services (CMS) released the 2025 Marketplace Integrity and Affordability Final Rule. Its stated aim is to reduce individual health insurance premiums by approximately 5% on average and save taxpayers up to $12 billion in 2026. The rule addresses what CMS describes as widespread fraud in Affordable Care Act (ACA)…
Unite Us, which integrates health and community-based care, and Nomi Health, a national health care financial services platform, partnered to deliver an innovative joint solution designed to streamline administration and accelerate payments to community-based organizations (CBOs) on behalf of Medicaid health care payers. The partnership is intended to ensure that essential community services for Medicaid…
Podimetrics, which provides complex diabetes solutions, entered a new partnership with Alivi Health, a fully delegated benefit manager for clinical and non-clinical provider networks. Alivi will incorporate the Podimetrics solution within its portfolio of specialty benefits to enhance podiatry benefits for health plans and payers. Podimetrics offers a virtual care solution that monitors foot health…